NICHOLAS FORD CALLAHAN MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001011

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

FORD

Last Name

CALLAHAN

Business Name

NICHOLAS FORD CALLAHAN MD

Original Issue Date

10/12/2018

Effective Date

07/18/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

07/18/2024